DEATH CERTIFICATE

DANIEL ADAMS

 

Date 10 June 1936
Cert:  19122
Name:  Daniel ADAMS
Place of Death: Voting Pct. Middle Carr, Knott Co., KY
Residence:  Red Fox, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  Nancy ADAMS
Birth Date:  06 May 1847
Age: 90 years, 01 months, 04 days
Occupation:  Farmer
Place of Birth: Letcher Co., Ky.
Name of Father:  Absalom ADAMS
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  Frazier ADAMS
Death Date:  Amburgey, Ky.
Cause of Death:  Caner of Faze 
Signed:  (blank)
Burial Place:  Red Fox, Ky.
Date of Burial:  11 June 1937
Undertaker:  G. W. Nicholson, Hazard, Ky.
File Date:  12 July 1937
Registrar:  Henry Blair
Transcribed by Debbie Tamborski, 23 September 2009